Plan year 2027 · Medicare AdvantageCMS files of Sept. 22 and Oct. 1, 2026

Complete Blue PPO Signature, 2027

H5106Contract030Plan

PPO · 30 counties in West Virginia

Run by Highmark Senior Solutions Company (contract H5106), sold as Highmark Blue Cross Blue Shield, owned by Highmark Health

Takes in 1 plan

2026 star rating, contract H5106: 3.5 of 5

Complete Blue PPO Signature (H5106-030) costs $0 a month in 2027, the same as in 2026, with an in-network out-of-pocket limit of $7,150 ($7,550 in 2026). It takes in the members of H5106-035.

What changes from 2026 to 2027?

The changed lines are marked and come first. In-network amounts; members keep paying the Part B premium unless the plan reduces it. The plan files its benefits in parts for different counties, so lines marked ◆ show the most generous part of its area and some counties get less: the plan's Evidence of Coverage gives your county's amounts.
What you pay or get	2026	2027	Change
In-network out-of-pocket limit	$7,550	$7,150	down $400
Drug deductible	$615	$700	up $85
Part B premium reduction, monthly (best in its area)	$6	none	dropped
Specialist visit (best in its area)	$35 copay	$45 copay	up $10
Emergency room (best in its area)	$115 copay	$130 copay	up $15
Hospital stay, in network (best in its area)	$275 a day for days 1–5, then $0 a day for days 6–90	$420 a day for days 1–7, then $0 a day for days 8–90	up $725for a 5-day stay
Skilled nursing facility, in network (best in its area)	$0 a day for days 1–20, then $218 a day for days 21–100	$0 a day for days 1–20, then $221 a day for days 21–100	up $30for a 30-day stay
Ground ambulance, in network (best in its area)	$200 copay	$325 copay	up $125
Eyewear, yearly limit (best in its area)	$350 a year	not offered	dropped
Over-the-counter items, yearly (best in its area)	$480 a year	$100 a year	down $380
Counties served	26	30	up 4
Drug tier 3, preferred brand	19% of the cost	21% of the cost	up 2 points
Drug tier 4, non-preferred drug	20% of the cost	25% of the cost	up 5 points
8 lines do not change
Monthly premium	$0	$0	no change
Primary care visit (best in its area)	$0 copay	$0 copay	no change
Medical deductible, in network (best in its area)	none	none	no change
Comprehensive dental, yearly limit (best in its area)	not offered	not offered	no change
Hearing aids, yearly limit for both ears (best in its area)	$500 a year	$500 a year	no change
Drug tier 1, preferred generic	$7	$7	no change
Drug tier 2, generic	$15	$15	no change
Drug tier 5, specialty tier	25% of the cost	25% of the cost	no change

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS plan benefit package files, 2027 and 2026; CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026). Plan details can change during the year; confirm on Medicare Plan Finder.

What will prescriptions cost?

Your share for a 30-day supply at a retail pharmacy, as filed with CMS; tiers whose share changes are marked. The plan charges less at its preferred pharmacies
Tier	What the tier holds	2026, standard pharmacy	2027, standard pharmacy	2027, preferred pharmacy
Tier 1	Preferred Generic	$7	$7	$0
Tier 2	Generic	$15	$15	$0
Tier 3	Preferred Brand	19% of the cost	21% of the cost	21% of the cost
Tier 4	Non-Preferred Drug	20% of the cost	25% of the cost	25% of the cost
Tier 5	Specialty Tier	25% of the cost	25% of the cost	25% of the cost

Source: CMS plan benefit package files, 2027 and 2026. Insulin is capped at $35 a month by law. A drug's tier is set by the plan's formulary.

How does it compare with plans sold where it is?

In the counties it serves, 42 plans open to everyone are sold for 2027, this one included. Against the others, 10 plans have a lower out-of-pocket limit, 9 the same, 22 a higher one. On the premium, 25 the same, 16 a higher one.

Out-of-pocket limits of the 42 plans open to everyone

$0 to under $2,0000 plans

$2,000 to under $4,0000 plans

$4,000 to under $6,0001 plan

$6,000 to under $8,000 (this plan)23 plans

$8,000 to $10,00018 plans

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).

Where is it sold, and what does it cost there?

The premium and the out-of-pocket limit are the same in all 30 counties: $0 a month and $7,150.

West Virginia

Berkeley Braxton Brooke Cabell Clay Doddridge Fayette Greenbrier Hardy Harrison Jefferson Kanawha Lincoln Marion Marshall Mason McDowell Mercer Mingo Monongalia Nicholas Ohio Preston Putnam Raleigh Randolph Ritchie Wayne Wirt Wood

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).

Which 2026 plans move into it, and what changes for their members?

For 2027 this plan takes in the members of 1 other plan, beside its own 3,779 members. In 2027 it costs $0 a month with a $7,150 limit; each row compares that with the plan its members had in 2026.

2026 plan	Members, Sept. 2026	Members who move	Premium 2026	Premium change	Limit 2026	Limit change
Complete Blue PPO SignatureH5106-035	1,128	408	$0	no change	$7,550	down $400

Only the members of Complete Blue PPO Signature (H5106-035) who live in the 4 counties where this plan is sold move into it (408 of its 1,128 members); in its other 11 counties the plan ends and members choose a new one. What happens where.

Source: CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11); CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision). Each moving plan's own page lists every line that changes for its members.

Who runs this plan?

Plan ID: H5106-030
Legal name of the contract: Highmark Senior Solutions Company
Sold as: Highmark Blue Cross Blue Shield
Parent company: Highmark Health
Plan type: PPO
2026 star rating of the contract: 3.5 of 5 overall; health plan 3.5 of 5, drug plan 3.5 of 5
Members, September 2026: 3,779
Plan website, as filed with CMS: medicare.highmark.com

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS 2026 Star Ratings (October 2025); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11). CMS publishes the 2027 Star Ratings in October 2026.

What else should you check?

Other 2027 plans in Berkeley, WVWhere most of its members live; premiums and limits side by side
Every Highmark Blue Cross Blue Shield plan for 2027Its contracts, counties and plans that end
The other 3 plans of contract H5106Same company, same contract
Is your prescription covered?Coverage share and tier for 2,259 drugs

Data, not advice. These are the plan's filed amounts, not a quote for you; confirm on Medicare Plan Finder or call the plan before you enroll.